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Louise W. Eggleston Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Norfolk, Virginia
NPI 1093768921

Louise W. Eggleston Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Norfolk, VA. Louise W. Eggleston Center practices in Norfolk, VA. The NPI Number for Louise W. Eggleston Center is 1093768921 and holds a License No. 16702006 (Virginia).

The current practice location address for Louise W. Eggleston Center is 6431 Tidewater Dr, Norfolk, VA and can be reached out via phone at 757-858-8011 and via fax at 757-858-8057. You can also correspond with Louise W. Eggleston Center through the mailing address at 1161 INGLESIDE RD, NORFOLK, VA - 23502-5608 (mailing address contact number: 757-858-8011).

Location: 6431 Tidewater Dr, Norfolk, VA, 23502-5608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093768921
Provider Name
Louise W. Eggleston Center
Credential
Provider Entity Type
Organization
Address
6431 Tidewater Dr, Norfolk, VA, 23502-5608
Phone Number
757-858-8011
Fax Number
757-858-8057
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6431 Tidewater Dr
City
Norfolk
State
Virginia
Zip
23509-1600
Phone Number
757-858-8011
Fax Number
757-858-8057
person
Provider Business Mailing Address Details
Address
1161 Ingleside Rd
City
Norfolk
State
Virginia
Zip
23502-5608
Phone Number
757-858-8011
Fax Number
757-627-4760
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
16701001 (Virginia)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
16702006 (Virginia)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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